scholarly journals Indigocarmine added to the water exchange method enhances adenoma detection - a RCT

2012 ◽  
Vol 2 (3) ◽  
pp. 106-111 ◽  
Author(s):  
Joseph W. Leung ◽  
Surinder K. Mann ◽  
Rodelei M. Siao-Salera ◽  
Catherine Ngo ◽  
Randy McCreery ◽  
...  
2019 ◽  
Vol 47 (2) ◽  
pp. 515-527
Author(s):  
Xiufang Xu ◽  
Dongqiong Ni ◽  
Yuping Lu ◽  
Xuan Huang

Background Few well-designed studies have investigated water exchange colonoscopy (WE). We performed a meta-analysis to comprehensively evaluate the clinical utility of WE based on high-quality randomized controlled trials (RCTs) and to compare the impacts of WE, water immersion colonoscopy (WI), and gas-insufflation colonoscopy. Methods We searched the Cochrane Library, MEDLINE, Embase, PubMed, Elsevier, CNKI, VIP, and Wan Fang Data for RCTs on WE. We analyzed the results using fixed- or random-effect models according to the presence of heterogeneity. Publication bias was assessed by funnel plots. Results Thirteen studies were eligible for this meta-analysis. The colonoscopic techniques included WE as the study group, and WI and air- or CO2-insufflation colonoscopy as control groups. WE was significantly superior to the control procedures in terms of adenoma detection rate, proportion of painless unsedated colonoscopy procedures, and cecal intubation rate according to odds ratios. WE was also significantly better in terms of maximal pain score and patient satisfaction score according to mean difference. Conclusions WE can remarkably improve the adenoma detection rate, proportion of painless unsedated colonoscopy procedures, patient satisfaction, and cecal intubation rate, as well as reducing the maximal pain score in patients undergoing colonoscopy.


2018 ◽  
Vol 154 (6) ◽  
pp. S-875-S-876
Author(s):  
Hui Jia ◽  
Malcolm Koo ◽  
Joseph W. Leung ◽  
Yanglin Pan ◽  
Sergio Cadoni ◽  
...  

ChemPhysChem ◽  
2013 ◽  
Vol 14 (11) ◽  
pp. 2589-2593 ◽  
Author(s):  
Minghuan Liu ◽  
Wanchen Zhao ◽  
Shuo Wang ◽  
Wen Guo ◽  
Yuzhao Tang ◽  
...  

Author(s):  
Makoto Arai ◽  
Humberto S. Makiyama ◽  
Liang-Yee Cheng

In recent years, ballast water has been blamed for a variety of marine pollution problems, particularly for transporting harmful aquatic organisms from one part of the world to another and damaging the ecosystem of the new areas. A relatively simple mechanism to control this problem is to exchange ballast water on the high seas between ports in order to remove invasive species before the ship reaches its destination. However, some issues regarding ballast exchange on the open sea need to be addressed before this operation is introduced. One of them is the sloshing of the sea water in the ballast tank. In this paper, ballast water exchange on the open sea by means of the Sequential exchange method is simulated. Irregular seaways are generated from the ISSC spectrum, and the sloshing response of the water in the ballast tanks of a large merchant ship is numerically computed by using a finite difference code developed by the authors. The results showed that there is little possibility that severe sloshing presents a serious problem in regard to the ballast tank’s strength, especially in the case of a bulk carrier whose tanks are generally short in length, with sloshing anticipated only at the low water level.


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